Organization
VISITING THERAPISTS, LLC
Active
Other names
Visiting Therapists of Colorado
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IZZY LOZADA (AGENCY GENERAL MANAGER)
(970) 658-5052
Entity
Organization
Contact information
Practice address
2219 STILLWATER CREEK DR, FORT COLLINS, CO 80528-8513
(970) 658-5052
(866) 805-0383
Mailing address
PO BOX 744, WINDSOR, CO 80550-0744
(970) 658-5052
(866) 805-0383
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9000139491
COLORADO INTERCHANGE PROVIDER NUMBER
CO
Enumeration date
01/05/2017
Last updated
01/05/2017
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